COMMUNITY HEALTH AND IMMUNIZATION SERVICES
Medical Practice at Butler Ave, Providence, RI

License number
Rhode Island MD12480
Category
Medical Practice
Type
Community Health Worker
Owner
Name: KARA ANDERSON
Title: DIRECTOR OF COMMUNITY DEVELOPMENT
Phone: (480) 646-9031
Address
Address 2
182 Butler Ave SUITE 1B, Providence, RI 02906
8324 E Hartford Dr, Scottsdale, AZ 85255
National Provider ID: 1972916229
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COMMUNITY HEALTH AND IMMUNIZATION SERVICES at bizstanding.com

COMMUNITY HEALTH AND IMMUNIZATION SERVICES, LLC

8324 E Hartford Dr, Scottsdale, AZ 85255

Registration:
May 12, 2014
State ID:
L-1925541-5
Expiration:
PERPETUAL
Manager:
Passport Health Holdings Llc (Manager), 8324 E Hartford Dr, Scottsdale, AZ 85255 (Physical)
Agent:
Andrew Christensen,8324 E Hartford Dr, Scottsdale, AZ 85255 (Physical)

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